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Comparative immunogenicity and safety of human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine and HPV-6/11/16/18 vaccine administered according to 2- and 3-dose schedules in girls aged 9–14 years: Results to month 12 from a randomized trial

Identifieur interne : 000191 ( Main/Exploration ); précédent : 000190; suivant : 000192

Comparative immunogenicity and safety of human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine and HPV-6/11/16/18 vaccine administered according to 2- and 3-dose schedules in girls aged 9–14 years: Results to month 12 from a randomized trial

Auteurs : Ting Fan Leung [Hong Kong] ; Anthony Pak-Yin Liu [Hong Kong] ; Fong Seng Lim [Singapour] ; Franck Thollot [France] ; Helen May Lin Oh [Singapour] ; Bee Wah Lee [Singapour] ; Lars Rombo [Suède] ; Ngiap Chuan Tan [Singapour] ; Roman Rouzier [France] ; Damien Friel [Belgique] ; Benoit De Muynck [Belgique] ; Stéphanie De Simoni [Belgique] ; Pemmaraju Suryakiran [Inde] ; Marjan Hezareh [Belgique] ; Nicolas Folschweiller [Belgique] ; Florence Thomas [Belgique] ; Frank Struyf [Belgique]

Source :

RBID : PMC:4514190

Abstract

This observer-blind study (clinicaltrials.gov NCT01462357) compared the immunogenicity and safety of 2 doses of the HPV-16/18 AS04-adjuvanted vaccine (HPV-16/18(2D)) vs. 2 or 3 doses of the HPV-6/11/16/18 vaccine (HPV-6/11/16/18(2D) and HPV-6/11/16/18(3D)) in healthy girls aged 9–14 y. Girls were randomized (1:1:1) to receive HPV-16/18(2D) at months (M) 0,6 (N = 359), HPV-6/11/16/18(2D) at M0,6 (N = 358) or HPV-6/11/16/18(3D) at M0,2,6 (N = 358). The primary objective was non-inferiority/superiority of HPV-16/18 antibodies by ELISA for HPV-16/18(2D) vs. HPV-6/11/16/18(2D) at M7 in the according-to-protocol immunogenicity cohort (ATP-I) and total vaccinated cohort, respectively. Secondary objectives included non-inferiority/superiority of HPV-16/18(2D) vs. HPV-6/11/16/18(3D) at M7, non-inferiority/superiority at M12, HPV-16/18 neutralizing antibodies, frequencies of T-cells/B-cells, reactogenicity and safety. Antibody responses at M7 for HPV-16/18(2D) were superior to those for HPV-6/11/16/18(2D) and HPV-6/11/16/18(3D) (lower limit of 95% confidence interval for geometric mean titer ratio (GMR) was >1): HPV-16/18(2D)/HPV-6/11/16/18(2D) GMRs were 1.69 [1.49–1.91] for anti-HPV-16 and 4.52 [3.97–5.13] for anti-HPV-18; HPV-16/18(2D)/HPV-6/11/16/18(3D) GMRs were 1.72 [1.54–1.93] for anti-HPV-16 and 3.22 [2.82–3.68] for anti-HPV-18; p = 0.0001 for all comparisons. Non-inferiority/superiority was also demonstrated at M12. Among initially seronegative girls in the ATP-I, neutralizing antibody titers were at least 1.8-fold higher for HPV-16/18(2D) vs. HPV-6/11/16/18(2D) and HPV-6/11/16/18(3D) at M7 and M12. Frequencies of HPV-16/18-specific T-cells and B-cells were in similar ranges between groups. Reactogenicity and safety were in line with the known profile of each vaccine. In conclusion, superior HPV-16/18 antibody responses were elicited by 2 doses of the HPV-16/18 AS04-adjuvanted vaccine compared with 2 or 3 doses of the HPV-6/11/16/18 vaccine in girls (9–14 years).


Url:
DOI: 10.1080/21645515.2015.1050570
PubMed: 26062002
PubMed Central: 4514190


Affiliations:


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Le document en format XML

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<title xml:lang="en">Comparative immunogenicity and safety of human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine and HPV-6/11/16/18 vaccine administered according to 2- and 3-dose schedules in girls aged 9–14 years: Results to month 12 from a randomized trial</title>
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<name sortKey="Leung, Ting Fan" sort="Leung, Ting Fan" uniqKey="Leung T" first="Ting Fan" last="Leung">Ting Fan Leung</name>
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<institution>Department of Paediatrics; The Chinese University of Hong Kong</institution>
; Shatin,
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<country xml:lang="fr">Hong Kong</country>
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<nlm:aff id="af0014">These authors equally contributed to the work.</nlm:aff>
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<name sortKey="Lim, Fong Seng" sort="Lim, Fong Seng" uniqKey="Lim F" first="Fong Seng" last="Lim">Fong Seng Lim</name>
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<country xml:lang="fr">Suède</country>
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<name sortKey="Tan, Ngiap Chuan" sort="Tan, Ngiap Chuan" uniqKey="Tan N" first="Ngiap Chuan" last="Tan">Ngiap Chuan Tan</name>
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<country xml:lang="fr">Singapour</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Rouzier, Roman" sort="Rouzier, Roman" uniqKey="Rouzier R" first="Roman" last="Rouzier">Roman Rouzier</name>
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<name sortKey="Friel, Damien" sort="Friel, Damien" uniqKey="Friel D" first="Damien" last="Friel">Damien Friel</name>
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<country xml:lang="fr">Belgique</country>
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<name sortKey="De Muynck, Benoit" sort="De Muynck, Benoit" uniqKey="De Muynck B" first="Benoit" last="De Muynck">Benoit De Muynck</name>
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; Wavre,
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</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="De Simoni, Stephanie" sort="De Simoni, Stephanie" uniqKey="De Simoni S" first="Stéphanie" last="De Simoni">Stéphanie De Simoni</name>
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<institution>GSK Vaccines</institution>
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<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Suryakiran, Pemmaraju" sort="Suryakiran, Pemmaraju" uniqKey="Suryakiran P" first="Pemmaraju" last="Suryakiran">Pemmaraju Suryakiran</name>
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<institution>GlaxoSmithKline Pharmaceuticals India Ltd.</institution>
; Bangalore,
<country>India</country>
</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Hezareh, Marjan" sort="Hezareh, Marjan" uniqKey="Hezareh M" first="Marjan" last="Hezareh">Marjan Hezareh</name>
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<institution>Chiltern International for GSK Vaccines</institution>
; Wavre,
<country>Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Folschweiller, Nicolas" sort="Folschweiller, Nicolas" uniqKey="Folschweiller N" first="Nicolas" last="Folschweiller">Nicolas Folschweiller</name>
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; Wavre,
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<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Thomas, Florence" sort="Thomas, Florence" uniqKey="Thomas F" first="Florence" last="Thomas">Florence Thomas</name>
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; Wavre,
<country>Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Struyf, Frank" sort="Struyf, Frank" uniqKey="Struyf F" first="Frank" last="Struyf">Frank Struyf</name>
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<institution>GSK Vaccines</institution>
; Wavre,
<country>Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<title xml:lang="en" level="a" type="main">Comparative immunogenicity and safety of human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine and HPV-6/11/16/18 vaccine administered according to 2- and 3-dose schedules in girls aged 9–14 years: Results to month 12 from a randomized trial</title>
<author>
<name sortKey="Leung, Ting Fan" sort="Leung, Ting Fan" uniqKey="Leung T" first="Ting Fan" last="Leung">Ting Fan Leung</name>
<affiliation wicri:level="1">
<nlm:aff id="af0001">
<institution>Department of Paediatrics; The Chinese University of Hong Kong</institution>
; Shatin,
<country>Hong Kong</country>
</nlm:aff>
<country xml:lang="fr">Hong Kong</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation>
<nlm:aff id="af0014">These authors equally contributed to the work.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Liu, Anthony Pak Yin" sort="Liu, Anthony Pak Yin" uniqKey="Liu A" first="Anthony Pak-Yin" last="Liu">Anthony Pak-Yin Liu</name>
<affiliation wicri:level="1">
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<institution>Department of Paediatrics and Adolescent Medicine; Li Ka Shing Faculty of Medicine; The University of Hong Kong</institution>
;
<country>Hong Kong</country>
</nlm:aff>
<country xml:lang="fr">Hong Kong</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation>
<nlm:aff id="af0014">These authors equally contributed to the work.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lim, Fong Seng" sort="Lim, Fong Seng" uniqKey="Lim F" first="Fong Seng" last="Lim">Fong Seng Lim</name>
<affiliation wicri:level="1">
<nlm:aff id="af0003">
<institution>National Healthcare Group Polyclinics and National University of Singapore</institution>
;
<country>Singapore</country>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Thollot, Franck" sort="Thollot, Franck" uniqKey="Thollot F" first="Franck" last="Thollot">Franck Thollot</name>
<affiliation wicri:level="1">
<nlm:aff id="af0004">
<institution>Association Française de Pédiatrie Ambulatoire (AFPA); Essey Les Nancy</institution>
,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Oh, Helen May Lin" sort="Oh, Helen May Lin" uniqKey="Oh H" first="Helen May Lin" last="Oh">Helen May Lin Oh</name>
<affiliation wicri:level="1">
<nlm:aff id="af0005">
<institution>Division of Infectious Disease; Changi General Hospital</institution>
;
<country>Singapore</country>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lee, Bee Wah" sort="Lee, Bee Wah" uniqKey="Lee B" first="Bee Wah" last="Lee">Bee Wah Lee</name>
<affiliation wicri:level="1">
<nlm:aff id="af0006">
<institution>Mount Elizabeth Medical Center and National University of Singapore</institution>
;
<country>Singapore</country>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Rombo, Lars" sort="Rombo, Lars" uniqKey="Rombo L" first="Lars" last="Rombo">Lars Rombo</name>
<affiliation wicri:level="1">
<nlm:aff id="af0007">
<institution>Centre for Clinical Research; Sormland County Council; Uppsala University and Karolinska Institute</institution>
; Stockholm,
<country>Sweden</country>
</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Tan, Ngiap Chuan" sort="Tan, Ngiap Chuan" uniqKey="Tan N" first="Ngiap Chuan" last="Tan">Ngiap Chuan Tan</name>
<affiliation wicri:level="1">
<nlm:aff id="af0008">
<institution>SingHealth Polyclinics and DUKE-NUS Graduate Medical School</institution>
;
<country>Singapore</country>
</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Rouzier, Roman" sort="Rouzier, Roman" uniqKey="Rouzier R" first="Roman" last="Rouzier">Roman Rouzier</name>
<affiliation wicri:level="1">
<nlm:aff id="af0009">
<institution>Institut Curie</institution>
; Paris,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Friel, Damien" sort="Friel, Damien" uniqKey="Friel D" first="Damien" last="Friel">Damien Friel</name>
<affiliation wicri:level="1">
<nlm:aff id="af0010">
<institution>GSK Vaccines</institution>
; Wavre,
<country>Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Muynck, Benoit" sort="De Muynck, Benoit" uniqKey="De Muynck B" first="Benoit" last="De Muynck">Benoit De Muynck</name>
<affiliation wicri:level="1">
<nlm:aff id="af0010">
<institution>GSK Vaccines</institution>
; Wavre,
<country>Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Simoni, Stephanie" sort="De Simoni, Stephanie" uniqKey="De Simoni S" first="Stéphanie" last="De Simoni">Stéphanie De Simoni</name>
<affiliation wicri:level="1">
<nlm:aff id="af0011">
<institution>GSK Vaccines</institution>
; Rixensart,
<country>Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Suryakiran, Pemmaraju" sort="Suryakiran, Pemmaraju" uniqKey="Suryakiran P" first="Pemmaraju" last="Suryakiran">Pemmaraju Suryakiran</name>
<affiliation wicri:level="1">
<nlm:aff id="af0012">
<institution>GlaxoSmithKline Pharmaceuticals India Ltd.</institution>
; Bangalore,
<country>India</country>
</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hezareh, Marjan" sort="Hezareh, Marjan" uniqKey="Hezareh M" first="Marjan" last="Hezareh">Marjan Hezareh</name>
<affiliation wicri:level="1">
<nlm:aff id="af0013">
<institution>Chiltern International for GSK Vaccines</institution>
; Wavre,
<country>Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Folschweiller, Nicolas" sort="Folschweiller, Nicolas" uniqKey="Folschweiller N" first="Nicolas" last="Folschweiller">Nicolas Folschweiller</name>
<affiliation wicri:level="1">
<nlm:aff id="af0010">
<institution>GSK Vaccines</institution>
; Wavre,
<country>Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Thomas, Florence" sort="Thomas, Florence" uniqKey="Thomas F" first="Florence" last="Thomas">Florence Thomas</name>
<affiliation wicri:level="1">
<nlm:aff id="af0010">
<institution>GSK Vaccines</institution>
; Wavre,
<country>Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Struyf, Frank" sort="Struyf, Frank" uniqKey="Struyf F" first="Frank" last="Struyf">Frank Struyf</name>
<affiliation wicri:level="1">
<nlm:aff id="af0010">
<institution>GSK Vaccines</institution>
; Wavre,
<country>Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Human Vaccines & Immunotherapeutics</title>
<idno type="ISSN">2164-5515</idno>
<idno type="eISSN">2164-554X</idno>
<imprint>
<date when="2015">2015</date>
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<front>
<div type="abstract" xml:lang="en">
<p>This observer-blind study (clinicaltrials.gov NCT01462357) compared the immunogenicity and safety of 2 doses of the HPV-16/18 AS04-adjuvanted vaccine (HPV-16/18(2D)) vs. 2 or 3 doses of the HPV-6/11/16/18 vaccine (HPV-6/11/16/18(2D) and HPV-6/11/16/18(3D)) in healthy girls aged 9–14 y. Girls were randomized (1:1:1) to receive HPV-16/18(2D) at months (M) 0,6 (N = 359), HPV-6/11/16/18(2D) at M0,6 (N = 358) or HPV-6/11/16/18(3D) at M0,2,6 (N = 358). The primary objective was non-inferiority/superiority of HPV-16/18 antibodies by ELISA for HPV-16/18(2D) vs. HPV-6/11/16/18(2D) at M7 in the according-to-protocol immunogenicity cohort (ATP-I) and total vaccinated cohort, respectively. Secondary objectives included non-inferiority/superiority of HPV-16/18(2D) vs. HPV-6/11/16/18(3D) at M7, non-inferiority/superiority at M12, HPV-16/18 neutralizing antibodies, frequencies of T-cells/B-cells, reactogenicity and safety. Antibody responses at M7 for HPV-16/18(2D) were superior to those for HPV-6/11/16/18(2D) and HPV-6/11/16/18(3D) (lower limit of 95% confidence interval for geometric mean titer ratio (GMR) was >1): HPV-16/18(2D)/HPV-6/11/16/18(2D) GMRs were 1.69 [1.49–1.91] for anti-HPV-16 and 4.52 [3.97–5.13] for anti-HPV-18; HPV-16/18(2D)/HPV-6/11/16/18(3D) GMRs were 1.72 [1.54–1.93] for anti-HPV-16 and 3.22 [2.82–3.68] for anti-HPV-18; p = 0.0001 for all comparisons. Non-inferiority/superiority was also demonstrated at M12. Among initially seronegative girls in the ATP-I, neutralizing antibody titers were at least 1.8-fold higher for HPV-16/18(2D) vs. HPV-6/11/16/18(2D) and HPV-6/11/16/18(3D) at M7 and M12. Frequencies of HPV-16/18-specific T-cells and B-cells were in similar ranges between groups. Reactogenicity and safety were in line with the known profile of each vaccine. In conclusion, superior HPV-16/18 antibody responses were elicited by 2 doses of the HPV-16/18 AS04-adjuvanted vaccine compared with 2 or 3 doses of the HPV-6/11/16/18 vaccine in girls (9–14 years).</p>
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<country name="France">
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<name sortKey="Thollot, Franck" sort="Thollot, Franck" uniqKey="Thollot F" first="Franck" last="Thollot">Franck Thollot</name>
</noRegion>
<name sortKey="Rouzier, Roman" sort="Rouzier, Roman" uniqKey="Rouzier R" first="Roman" last="Rouzier">Roman Rouzier</name>
</country>
<country name="Suède">
<noRegion>
<name sortKey="Rombo, Lars" sort="Rombo, Lars" uniqKey="Rombo L" first="Lars" last="Rombo">Lars Rombo</name>
</noRegion>
</country>
<country name="Belgique">
<noRegion>
<name sortKey="Friel, Damien" sort="Friel, Damien" uniqKey="Friel D" first="Damien" last="Friel">Damien Friel</name>
</noRegion>
<name sortKey="De Muynck, Benoit" sort="De Muynck, Benoit" uniqKey="De Muynck B" first="Benoit" last="De Muynck">Benoit De Muynck</name>
<name sortKey="De Simoni, Stephanie" sort="De Simoni, Stephanie" uniqKey="De Simoni S" first="Stéphanie" last="De Simoni">Stéphanie De Simoni</name>
<name sortKey="Folschweiller, Nicolas" sort="Folschweiller, Nicolas" uniqKey="Folschweiller N" first="Nicolas" last="Folschweiller">Nicolas Folschweiller</name>
<name sortKey="Hezareh, Marjan" sort="Hezareh, Marjan" uniqKey="Hezareh M" first="Marjan" last="Hezareh">Marjan Hezareh</name>
<name sortKey="Struyf, Frank" sort="Struyf, Frank" uniqKey="Struyf F" first="Frank" last="Struyf">Frank Struyf</name>
<name sortKey="Thomas, Florence" sort="Thomas, Florence" uniqKey="Thomas F" first="Florence" last="Thomas">Florence Thomas</name>
</country>
<country name="Inde">
<noRegion>
<name sortKey="Suryakiran, Pemmaraju" sort="Suryakiran, Pemmaraju" uniqKey="Suryakiran P" first="Pemmaraju" last="Suryakiran">Pemmaraju Suryakiran</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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